NPIMap

Organization Active NPI

Physical Therapy Specialties of Seattle P S

  • Physical Therapy Clinic/Center
  • Seattle, WA
National Provider Identifier
1972784635
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
602257271 Issued in WA
Legal business name
PHYSICAL THERAPY SPECIALTIES OF SEATTLE P S
Practice address
8028 35TH Ave NE
Seattle, WA 98115-4815
Phone
(206) 524-0124
Fax
(206) 524-0125
NPI assigned
Nov 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gretchen Lubin, PTNPI 1285734111
Title
President
Phone
(206) 524-0124

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 602257271 WA Primary

Addresses

Primary practice location

8028 35TH Ave NE
Seattle, WA 98115-4815

Mailing address

8028 35TH Ave NE
Seattle, WA 98115-4815
Phone (206) 524-0124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040108001015 WA Part B Supplier - Clinic/Group Practice 8123928025 Receives reassigned benefits from 5 practitioners
Practice locations: Seattle, WA

National Provider Directory

National Provider Directory

Locations

8028 35th Ave NE
Seattle, WA 98115
Phone (206) 524-0124

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1972784635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8028 35TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981154815",
            "telephone_number": "206-524-0124",
            "fax_number": "206-524-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8028 35TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981154815",
            "telephone_number": "206-524-0124",
            "fax_number": "206-524-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY SPECIALTIES OF SEATTLE P S",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "LUBIN",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-524-0124",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "602257271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.